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20.10.2015 | Original Paper | Ausgabe 6/2016

AIDS and Behavior 6/2016

Randomized Controlled Trial of an Internet Application to Reduce HIV Transmission Behavior Among HIV Infected Men Who have Sex with Men

Zeitschrift:
AIDS and Behavior > Ausgabe 6/2016
Autoren:
Joel Milam, Sheldon Morris, Sonia Jain, Xiaoying Sun, Michael P. Dubé, Eric S. Daar, Gustavo Jimenez, Richard Haubrich, The CCTG 592 Team
Wichtige Hinweise
Joel Milam and Sheldon Morris were study co-chairs and contributed equally to the design, conduct, and interpretation of the study.

Abstract

We conducted a prospective, randomized controlled trial of an internet-based safer-sex intervention to reduce HIV transmission risk behaviors. HIV-infected men who have sex with men (n = 179) were randomized to receive a monthly internet survey alone or a monthly survey plus tailored risk reduction messages over 12 months. The primary outcome was the cumulative sexually transmitted infection (STI) incidence over 12 months. Secondary outcomes included self-reported unprotected sex with an at risk partner and disclosure of HIV status to partners. In a modified intent to treat analysis, there was no difference in 12-month STI incidence between the intervention and control arms (30 vs. 25 %, respectively; p = 0.5). Unprotected sex decreased and disclosure increased over time in both study arms. These improvements suggest that addition of the risk-reduction messages provided little benefit beyond the self-monitoring of risky behavior via regular self-report risk behavior assessments (as was done in both study arms).

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